Online Registration Request Form

Once your online registration request is complete you will be contacted by our Registrar.

If you are registering for Music Together® classes please visit: SSCreativeseeds.org.

Please Note: This form does not reside on a secure server. You may still use this form or you can Download a PDF of our Class Registration Form. No financial information is requested in this form.

 

Student's First Name* A value is required.Minimum number of characters not met.
Student's Last Name* A value is required.Minimum number of characters not met.
Student's Date Of Birth* A value is required.Minimum number of characters not met.
Parent/Guardian's First Name* A value is required.Minimum number of characters not met.
Parent/Guardian's Last Name* A value is required.Minimum number of characters not met.
Street Address/P.O. Box* A value is required.Minimum number of characters not met.
City/Town/State* A value is required.Minimum number of characters not met.
Zip Code* A value is required.Minimum number of characters not met.
Evening/Home Phone* A value is required.Minimum number of characters not met.
Daytime/Work Phone* A value is required.Minimum number of characters not met.
Cell Phone
Email Address* A value is required.Minimum number of characters not met.
Emergency Contact's Name* A value is required.Minimum number of characters not met.
Emergency Contact's Home Phone* A value is required.Minimum number of characters not met.
Emergency Contact's Work Phone* A value is required.Minimum number of characters not met.
Emergency Contact's Cell Phone
*Required  

May we have permission to use photographs of your child for publicity purposes
ie. brochures, news releases, etc.?



Private Lessons:
The semester is scheduled around a 16 week calendar. You may register for private lessons at any time during the semester. The tuition will be adjusted accordingly. Senior Citizens receive a 10% discount on private lessons.

I am registering for
I would like to take lessons at this campus
I would like to take lessons on this day
My lesson time preference is
I would like to begin lessons on this date
Number of weeks I wish to register for
I am a continuing student. This is my current teacher

Suzuki Instruction:
For Suzuki Instruction please call or visit one of our campuses for registration.

Programs and Classes:
Program descriptions, campus locations, days and times are located on this website under Education Programs and Departments or in our current Brochure.

Those interested in registering for Preschool, Kindergarten, and Home School Enrichment Program please call or visit one of our campuses for registration.

 


South Shore Conservatory admits students of any race, color, nationality, and ethnic origin to all rights and privileges, programs and activities generally accorded or made available to students at the school.